ArticleWorld journal of surgery2019
Provision of Surgical Care for Children Across Somaliland: Challenges and Policy Guidance.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic Review.Annals of global health · 2023Pooled it
- Assessment of the capacity of health facilities in preventing and managing non-communicable diseases in selected regions of Somaliland.BMC health services research · 2025Article
- Non-physician anaesthesia providers' perspectives on task sharing practices in Zambia and Somaliland: a qualitative study.BMJ open · 2024Article
- Increasing access to pediatric surgical care: Assessing district hospital readiness in rural Rwanda.World journal of surgery · 2024Article
- Modeling the global impact of reducing out-of-pocket costs for children's surgical care.PLOS global public health · 2024Article
- Assessment of anesthesia capacity for children in Somaliland.PLOS global public health · 2024Article
- Article
- Delays in care for hydrocephalus and spina bifida at a tertiary hospital in Somaliland.World journal of pediatric surgery · 2023Article
- Defining Surgical Workforce Density Targets to Meet Child and Neonatal Mortality Rate Targets in the Age of the Sustainable Development Goals: A Global Cross-Sectional Study.World journal of surgery · 2022Article
- Geospatial analysis of pediatric surgical need and geographical access to care in Somaliland: a cross-sectional study.BMJ open · 2021Article
- Global and regional overview of the inclusion of paediatric surgery in the national health plans of 124 countries: an ecological study.BMJ open · 2021Article
- Timing and causes of neonatal mortality in Tamale Teaching Hospital, Ghana: A retrospective study.PloS one · 2021Article
- Article
- Barriers to Surgical Care Among Children in Somaliland: An Application of the Three Delays Framework.World journal of surgery · 2020Article
- Waiting Too Long: The Contribution of Delayed Surgical Access to Pediatric Disease Burden in Somaliland.World journal of surgery · 2020Article
- Developing Metrics to Define Progress in Children's Surgery.World journal of surgery · 2019Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExisting data suggest a large burden of surgical conditions in low- and middle-income countries (LMICs). However, surgical care for children in LMICs remains poorly understood. Our goal was to define the hospital infrastructure, workforce, and delivery of surgical care for children across Somaliland and provide policy guidance to improve care.
methodsWe used two established hospital assessment tools to assess infrastructure, workforce, and capacity at all hospitals providing surgical care for children across Somaliland. We collected data on all surgical procedures performed in children in Somaliland between August 2016 and July 2017 using operative logbooks.
resultsData were collected from 15 hospitals, including eight government, five for-profit, and two not-for-profit hospitals. Children represented 15.9% of all admitted patients, and pediatric surgical interventions comprised 8.8% of total operations. There were 0.6 surgical providers and 1.2 anesthesia providers per 100,000 population. A total of 1255 surgical procedures were performed in children in all hospitals in Somaliland over 1 year, at a rate of 62.4 surgical procedures annually per 100,000 children. Care was concentrated at private hospitals within urban areas, with a limited number of procedures for many high-burden pediatric surgical conditions.
conclusionsWe found a profound lack of surgical capacity for children in Somaliland. Hospital-level surgical infrastructure, workforce, and care delivery reflects a severely resource-constrained health system. Targeted policy to improved essential surgical care at local, regional, and national levels is essential to improve the health of children in Somaliland.
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